Mather Hospital will provide financial assistance to those who qualify. In addition, Mather can counsel you on government assistance programs.
Mather Hospital provides reduced fees for uninsured or under-insured patient earning up to 450% of the federal poverty level. Inpatient and outpatient medically necessary services are included.
If you qualify for Financial Assistance, the discounts can be applied towards open balances from co-payments, deductible and/or co-insurance. Personal items such as: private room differential or non-medically necessary services cannot be considered under Financial Assistance.
Please contact the Financial Assistance Representative at 631-473-1320, ext. 4037
Patients applying for Financial Assistance are expected to fully cooperate in qualifying for government programs (i.e. Medicaid) and may be expected to provide our facility with additional documentation to further support their income and asset levels.
**Financial Assistance applications are furnished upon request**
The Financial Assistance Program is based on federal poverty levels for family size and income.
Upon receipt of your first statement from the Mather Hospital Patient Accounting Department, you will be provided with the information necessary to contact the Financial Assistance Representative. If you wish to do so sooner, please feel free to contact the Financial Assistance Representative at 631-476-2801 option 1. Once the Financial Assistance Representative receives a completed application, the Senior Director of Patient Accounts has 30 days to contact the applicant via mail with the final decision.
In the event a Financial Assistance applicant is denied free care or does not agree with the determination, they may appeal the decision by contacting the Financial Assistance Representative at 631-476-2801 option 1 for a Financial Assistance Appeal Form. Otherwise, all denied applicants are afforded the opportunity to develop a realistic and fair payment plan, while recognizing the financial obligation for the services provided.
Financial Assistance application
When completing an application for financial assistance, please remember:
- You are encouraged to apply for financial assistance within 90 days from the first
post-discharge date noted on the statement; however, you are permitted
a minimum of 240 days to apply and submit a completed application.
- To avoid delays, please attach copies of all required documentation—including
checks, pay stubs and/or statements—that support the income reported on your
financial assistance application. In addition, please provide copies of all bills and
statements you would like us to review as part of your application. Note: We
reserve the right to request additional documentation related to resources for
patients with household incomes under 150% of the federal poverty level.
- Once we receive your completed application, you can disregard any bills or
statements until you receive written notification regarding your financial assistance
- Applicants for financial assistance will be expected to fully cooperate in applying
for any applicable public insurance program (e.g., Medicaid, Child Health Plus, etc.)
that Northwell Health believes they may be eligible for.
- If an incomplete application is received, Northwell Health will provide written
notice describing additional information or documentation required to determine
eligibility. You will be given 30 days to provide this information. The normal billing
cycle will continue, but any extraordinary collection actions will be suspended
during this time.
- Your application will be kept strictly confidential.
Apply for Financial Assistance
Although we encourage you to apply online via our Online Form for the fastest turnaround time, you can
still apply by mail. To apply for Financial Assistance by mail, please download, print, sign, and mail/email us a
completed copy with all required documentation to our mailing address listed below or by email at MATHFinancialAssistance@northwell.edu.
Financial Assistance Department
100 Highlands Blvd Suite 302
Port Jefferson, NY 11777
631-473-1320 extension 4037
After submitting a completed application, including all requested documentation, you can disregard bill(s) received until a final decision is made. We will contact you within 30 days, either by telephone or by mail, to inform you of the decision.
If your application is approved: We will let you know your adjusted account balance. If you need additional help with the new balance, please contact us by phone at 631-476-2801 option 2 so we can help set up a customized monthly payment plan.
If your application is not approved: You can appeal the decision by submitting additional information and/or supporting documentation to the applicable mailing address above. If you do not wish to appeal the decision, please contact us
If you would like more information on the Financial Assistance Program or have questions, please feel free to contact us Monday through Friday, 8am to 4pm, by phone at 631-476-2801, option 2, by email at MATH-FinancialAssistance@Northwell.edu or by stopping by our offices at 100 Highlands Blvd., Suite 302, Port Jefferson, NY 11777.